Company Filing and Registration

Company Filing and Registration

This page contains tax filing, annual filing, premium filing, registration, and other reporting forms for Risk Retention Groups, Risk Purchasing Groups, Independently Procured Insurance (Surplus Lines), and Direct Placement/Self Procured Insurance (Licensed Company).

Use the index below to go directly to a particular section on this page:


Annual Statement Filing Requirements

Listed below are the Annual Statement Filing Requirements. Each link includes the National Association of Insurance Commissioners (NAIC) Checklist for the filing of the Annual Statement, including all subsequent supplements, licensing information, premium tax information, and the Mississippi Insurance Department state filing requirements. The NAIC Checklist indicates which documents should be filed with the Mississippi Insurance Department and with the NAIC.

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Risk Retention Group Forms

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Risk Purchasing Group Forms

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Direct Placement/Self Procured Insurance (Licensed Company) Forms

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Independently Procured Insurance Forms

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Surplus Lines Insurance Forms

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Insurance Premium Tax

Insurance premium tax filings are made through the Mississippi Department of Revenue. To obtain insurance premium tax forms, please visit the Insurance Premium Tax portion of their web site. If you have any questions regarding the filing of insurance premium taxes call 601-923-7700 or email derrick.barnes@dor.ms.gov

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